Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lucky Milo Whitburn-Thomas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558156307

Lucky Milo Whitburn-Thomas is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1521 University Ave
Berkeley, CA 94703-1422
Phone: (510) 644-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 390200000 (CA)

Record details

NPI number1558156307
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

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